DR. SOWMYA GADDAM MD
NPI 1770111593
Pathology - Anatomic Pathology & Clinical Pathology in Dallas, TX

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment
5184 TEX OAK AVE, DALLAS, TX 75235(469) 419-3398(469) 419-3398 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Apr 3, 2020, Mar 28, 2020 (3 updates tracked since 2020).

About Dr. Sowmya Gaddam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOWMYA GADDAM MD (NPI 1770111593) is an individual anatomic pathology & clinical pathology provider in Dallas, Texas, licensed in Texas (V8254) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1770111593
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SOWMYA GADDAMCredential: MD
Location Address5184 TEX OAK AVEDallas, TX 75235-7822
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201
Fax(469) 419-3398
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2020
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1770111593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in TX · V8254
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
5184 TEX OAK AVE, Dallas, TX 75235

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sowmya Gaddam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749771194
PECOS Enrollment IDI20251113004673
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5184 TEX OAK AVE
DALLAS, TX 75235
Physician Assistant
5184 TEX OAK AVE
DALLAS, TX 75235
Pharmacist (Ambulatory Care)
5184 TEX OAK AVE
DALLAS, TX 75235
Pharmacist
5184 TEX OAK AVE
DALLAS, TX 75235
Pharmacist (Ambulatory Care)
5184 TEX OAK AVE
DALLAS, TX 75235
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5184 TEX OAK AVE, PHARMACY
DALLAS, TX 75235
Physician Assistant
5184 TEX OAK AVE
DALLAS, TX 75235
Nurse Practitioner (Family)
5184 TEX OAK AVE, ANDERSON UROLOGY 4TH FLOOR
DALLAS, TX 75235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sowmya Gaddam's NPI number?

The NPI number for Sowmya Gaddam is 1770111593. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Sowmya Gaddam located?

Sowmya Gaddam practices at 5184 Tex Oak Ave, Dallas, TX 75235. The listed phone number is (469) 419-3398.

What is Sowmya Gaddam's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sowmya Gaddam enrolled in Medicare?

Yes. Sowmya Gaddam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sowmya Gaddam accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Sowmya Gaddam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sowmya Gaddam affiliated with any hospitals?

According to CMS data, Sowmya Gaddam is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Sowmya Gaddam was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.